Job Summary

A staffing agency has a current position open for a Remote Medical Auditor.

Individual must be able to fulfill the following responsibilities:

• Be accountable for the quality control of all medical management aspects of claim files
• Review all aspects of vendor processes and outcomes
• Ensure compliance with applicable statutory and regulatory requirements,

Required Skills:

• Proficiency in Word and Excel.
• Bachelor’s degree
• 5 years of experience in the claims or insurance industry
• If a nursing degree, must be a licensed RN or LPN
• 5+ years of progressively responsible positions in claims or insurance
• Must own a personal desktop computer or laptop with high speed internet access